Igbanugo, Anselm Okechukwu

Igbanugo, Anselm Okechukwu is an sole proprietor health care provider with primary practice located at 508 Lakehurst Rd , Toms River NJ 08755-8000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Igbanugo, Anselm Okechukwu can be contacted via phone (732) 281-3100.

Contact Information

Primary practice address
508 Lakehurst Rd Toms River NJ 08755-8000
Phone: (732) 281-3100
Fax: (732) 281-3311
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA59719 New Jersey

Profile Details

NPI number 1780658187
LBN Legal business name Igbanugo, Anselm Okechukwu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2006
Last updated Jul 13th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780658187 NPPES
New Jersey MEDICAID 822437

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